Quantifying Supervisory Decision Making: Eye‐Tracking Technology Applications for the Promotion of Child Safety

Previous research has investigated various risk factors correlated with childhood injury, but few studies have successfully investigated these variables beyond participant self‐report. The present study utilized infrared eye‐tracking and computer‐based latency measures to evaluate caregiver supervision decisions in injury risk situations for typically developing children and children with autism spectrum disorder. The sample included 99 young women, ages 18–24 years, who are frequent non‐parental caregivers for children. Results indicated that participants altered their speed of response, child monitoring, and intervention decisions on the basis of idiosyncratic assessment of injury risk. Minimal significant differences emerged with regard to supervision behavior and chosen strategies when comparing children with autism spectrum disorder to typically developing children. Overall, results suggest that non‐parental caregivers integrate child characteristics and environmental risk factors when assessing risk and choosing interventions. Implications are discussed with regard to injury prevention programs emphasizing protective aspects of supervision for children across various settings. Copyright © 2015 John Wiley & Sons, Ltd.     

An Assessment of Genetic Counseling Services for Individuals with Multiple Sclerosis

Multiple sclerosis (MS) affects up to 1/500 Canadians. The University of British Columbia MS Clinic (UBC Clinic) is the only MS clinic in Canada (and likely internationally) that routinely offers genetic counseling to patients and their families. A typical session includes the collection of family history and demographic data, discussion of the inheritance of MS, interpretation of family-specific recurrence risks and psychosocial counseling. The aims of this study were to explore patients’: 1) expectations of the genetic counseling session; 2) understanding of the etiology of MS (both pre and post-session); and 3) post-session perceptions of genetic counseling. A two-part questionnaire to assess genetic counseling services was distributed before and after sessions to all consenting patients seen during the period October 1, 2008 to February 28, 2009 inclusive. Sixty-two completed questionnaires were analysed. Genetic counseling was found to significantly increase the number of individuals who were able to correctly identify the etiology of MS (p?<?0.001). Patient satisfaction with genetic counseling was high, with an average satisfaction score of 32.4/35 (92.6 %). Of those who provided comments (n?=?42/60) regarding the usefulness of the genetic counseling session, 95.2 % reported it useful (n?=?40/42). Findings suggest that genetic counseling is effective in increasing patients’ knowledge of the etiology of MS and is viewed by patients as a useful service. Based on the high level of positive feedback regarding genetic counseling by the study sample, this study suggests that the services provided by genetic counselors may be beneficial for patients with MS seen in other centers.     

Whose voice are we hearing,really?

This article, written from the position of someone who has lived experience of therapy for ‘psychosis’ and an interest in participation, explores the degree to which qualitative research truly conveys the voice and perspective of research participants. By exploring five papers focused on diverse experiences of psychotherapy, from the perspective of clients and therapists, it draws out some of the tensions inherent in making interpretations and connections within research papers and the impact this may have on the quality of any conclusions drawn. Finally, it makes some suggestions for ways of meaningfully involving research participants in the process and argues for an ongoing dialogue to prevent our own assumptions and theoretical frameworks from obscuring the importance of this involvement to improve the quality of future research.     

Exploring perspectives of well-being in Latina/o migrant workers

Migrant workers enter the United States to meet the agricultural labor needs of the US, seeking a better life and an escape from poverty. However, little is known about the factors that influence well-being in this population as they transition to a new society. The purpose of this study was to describe Latina/o migrant workers’ perceptions regarding the individual, communal, and contextual factors that influence their well-being. A community-based qualitative approach was taken to describe perceptions of well-being in the Latina/o migrant worker population. Focus groups and individual interviews were conducted with 12 South Florida Latina/o migrant workers using a semi-structured interview guided by the Developmental Systems Theory and Prilleltensky’s conceptualization of well-being. Conventional content analysis identified five themes: children as a point of connection, a mosaic of informal support, navigating a multi-stressed life context, awareness of lack of agency, and toward the promotion of well-being. This study is one of the first explorations of well-being in Latina/o migrant workers and includes recommendations for providers, researchers, and advocates.     

Children's Adjustment in a Climate of Political Violence: Comparing Mother and Child Reports

There is a dearth of research on parent and child reports regarding a parent’s parenting and its contribution to a child’s adjustment. Therefore, the current study examined: (a) the differences between mother and child reports of aspects of maternal parenting (i.e., care and control), among both boys and girls; (b) which parenting report (i.e., mother’s or child’s) makes a stronger contribution to mother and child reports of the child’s adjustment in the context of political violence. One hundred and twenty-one mother-child dyads (children aged seven to 12 years old (M?=?10.02, SD?=?1.03)), who were exposed to prolonged political violence, participated in this study. Maternal care and control were assessed by mother and child reports on the Parental Bonding Instrument. Child’s adjustment was assessed both by mother’s report of child’s total difficulties and child’s self-report of posttraumatic stress symptoms (PTSS). Results revealed that both the mothers of girls and the girls themselves reported higher care, in comparison to mothers of boys and the boys themselves, while mothers of boys and the boys themselves reported higher control. Higher maternal control, as reported by the child, was associated with the child’s self-reported PTSS. Higher maternal control, as reported by the mother, was associated with the child’s total difficulties, as reported by the mother. However, maternal care, whether reported by mother or child, was not found to be associated with the child’s adjustment. School-aged children and their mothers were in agreement regarding maternal dimensions and their contribution to children’s adjustment.     

Activating Veterans Toward Sources of Reward: A Pilot Report on Development,Feasibility, and Clinical Outcomes of a 12-Week Behavioral Activation Group Treatment

This pilot study evaluates a 12-week group Behavioral Activation protocol adapted to meet the needs of a Veteran population seeking treatment in an outpatient mental health clinic at a Veteran Affairs Medical Center. In a detailed Method we describe the treatment structure. Acceptability and feasibility are addressed by providing data on referral sources, treatment retention, attendance, and patient satisfaction. Initial clinical outcomes are presented, focusing on symptom reduction, improved quality of life, and changes in the hypothesized mechanism of treatment: improving motivated behavior to pursue rewards (decisional anhedonia). Finally, feedback from individual exit interviews is presented. We conclude with implementation tips and challenges in the service of continuing to improve our evidence-based interventions in Veteran Affairs facilities.